Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003189366 Individual Practitioner Male Practitioner

Dr. John Joseph Johnson , DDS

Dentist • Lewiston, ID

Professional Overview & Biography Verified Profile Summary

Dr. John Johnson, DDS is a registered healthcare professional specializing in Dentist in Lewiston, ID. Practice services are available at 3510 12TH STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3510 12th Street
Suite #600

Lewiston, ID 83501

Telephone 2087987955
Fax 2087987957
Associated Practice Facility / Clinic
🏢 John J Johnson Dds Pc Facility NPI 1265516272

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lewiston, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Lewiston, ID (448 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D-3189

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2012

Registered at 3510 12TH STREET, SUITE #600, LEWISTON, ID 83501 (Tel: 2087987955)

📍
Updated Business Mailing Address February 17, 2012

Registered at 3510 12TH STREET, SUITE #600, LEWISTON, ID 83501 (Tel: 2087987955)

👤
Provider Name / Credentials Updated February 17, 2012

Recorded as JOHN JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2012

Dentist (License #D-3189 in ID)

🟢
Initial NPI Registration & Enumeration February 17, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003189366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2012
Last Update: February 17, 2012
Sole Proprietor: No

Mailing Address

3510 12th Street, Suite #600

Lewiston, ID 83501

Phone: 2087987955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.